DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: AARON LEE CLARK ATC

MEDICARE: AARON LEE CLARK ATC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer096-000900IL

General Provider Information

NPI Number : 1245208792
Entity Type Code : Individual
Provider Name (Legal Business Name) : AARON LEE CLARK ATC
Provider Business Mailing Address
First Line : 5225 HINTON CT S
Second Line :
City : QUINCY
State : IL
Zip : 62305-0734
Country : US
Telephone Number : 217-209-1830
Fax Number :
Provider Business Practice Location Address
First Line : 1118 HAMPSHIRE ST
Second Line :
City : QUINCY
State : IL
Zip : 62301-3027
Country : US
Telephone Number : 217-222-6550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2006
Last Update Date : 11/24/2014

Similar Medicare Providers

1396718987 — DONNA SHIELDS NP
Practice Location Address:
1118 HAMPSHIRE ST
QUINCY, IL
62301-3027
Practice Phone: 217-222-6550
Practice Fax:
1417944091 — OSARETIN B IDUSUYI MD
Practice Location Address:
1118 HAMPSHIRE ST
QUINCY, IL
62301-3027
Practice Phone: 217-222-6550
Practice Fax: 217-277-2253
1184614653 — DR. DOUGLAS JOHN FREEL DPM
Practice Location Address:
1118 HAMPSHIRE ST
QUINCY, IL
62301-3027
Practice Phone: 217-222-6550
Practice Fax:
1356314728 — ADA A. KAGUMBA M.D.
Practice Location Address:
1118 HAMPSHIRE ST
QUINCY, IL
62301-3027
Practice Phone: 217-222-6550
Practice Fax:
1588624522 — JAMES VAN DEN BOGAERDE M.D.
Practice Location Address:
1118 HAMPSHIRE ST
QUINCY, IL
62301-3027
Practice Phone: 217-222-6550
Practice Fax:
1740239870 — LACY L CHAPEL ATHLETIC TRAINER
Practice Location Address:
1118 HAMPSHIRE ST
QUINCY, IL
62301-3027
Practice Phone: 217-222-6550
Practice Fax: 217-228-8439

Directions to “ AARON LEE CLARK ATC” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.